MEDICARE: MISS JENNIFER NICOLE CESARI L.M.T.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225700000X	Massage Therapist	MSG001282	PA

General Provider Information

NPI Number	:	1013254010
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS JENNIFER NICOLE CESARI L.M.T.

Provider Business Mailing Address
First Line	:	10060 JEANES ST FL 2
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19116-3671
Country	:	US
Telephone Number	:	267-978-2993
Fax Number	:

Provider Business Practice Location Address
First Line	:	2437 ARAMINGO AVE
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19125-3707
Country	:	US
Telephone Number	:	267-519-8788
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/10/2013
Last Update Date	:	05/05/2014

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